Tiffany Ballington, NP
Individual provider Active NPI Family Nurse Practitioner · Columbia, SC
NPI 1093470296 · NPPES record last updated Sep 2, 2026
Key facts
- NPI
- 1093470296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 25540 (SC)
- Practice address
- 7021 Saint Andrews Rd Ste 1
Columbia, SC 29212-1177 - Phone
- (864) 260-6995
- Fax
- (864) 884-9909
- NPI assigned
- Nov 2, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 26
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Medical University of South Carolina College of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Commonwealth Pain Associates PLLC
Practice addresses (Care Compare)
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
279 E Kennedy St
Spartanburg, SC 29302-1912
Phone (864) 583-0053
7021 Saint Andrews Rd
Suite 1
Columbia, SC 29212-1177
Phone (803) 791-7175
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in SC, KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220518000472 | SC | Practitioner - Nurse Practitioner | 3375920002 | Reassigns benefits to 2 organizations |
| I20250121000325 | KY | Practitioner - Nurse Practitioner | 3375920002 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25540 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Center for Advanced Management of Pain, LLC | Current |
Accepting new patients | |
| Commonwealth Pain Associates, PLLC | Family | Current |
Accepting new patients |
| Carolinas Center for Advanced Management of Pain | Current |
Accepting new patients | |
| Commonwealth Pain Associates PLLC | Current |
Accepting new patients |
Locations
120 Executive Park
St Matthews, KY 40207
Phone (502) 409-9925
7021 Saint Andrews Rd
Ste 1
Columbia, SC 29212
Phone (803) 749-7751
10 Enterprise Blvd
Ste 201
Greenville, SC 29615
Phone (864) 234-7815
279 E Kennedy St
Spartanburg, SC 29302
Phone (864) 583-0053
Interoperability endpoints
- tiffany.ballington.1@16521.direct.athenahealth.com
- https://api.platform.athenahealth.com/20461/brand/1/csg/21/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 25540 | SC | Yes |
Addresses
Primary practice location
7021 Saint Andrews Rd Ste 1
Columbia, SC 29212-1177
Mailing address
PO Box 6130
Spartanburg, SC 29304-6130
Phone (864) 583-0053
Other practice location 1
1506 N Fant St
Anderson, SC 29621-4708
Phone (864) 260-6995
Other practice location 2
120 Executive Park
Louisville, KY 40207-4201
Phone (502) 855-7200
Other practice location 3
10 Enterprise Blvd Ste 201
Greenville, SC 29615-3554
Phone (803) 791-7175
Other practice location 4
279 E Kennedy St
Spartanburg, SC 29302-1912
Phone (864) 583-0053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP8468 | Medicaid | SC |
Other providers in Columbia, SC
- Dwight Davis Ballard
- Taylor Ballenger
- Brittany Ballentine
- Isaac Diego Ballesteros
- C L Ballew
- Amy Furmanski Ballou
- Christopher Buckingham Ballou
- Jessica L Ballouli
- Esther Balogh
- Hakeem Balogun
All providers in Columbia, SC · Family Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.